Module 09 Assignment – Impaired Immune System Care Map
Purpose of Assignment
For this assignment, you will demonstrate knowledge of the diagnostic process using the template below. You will identify common assessment data, three priority nursing diagnoses, client-centered outcomes, and nursing interventions with rationale for a client with impaired immunity.
- Describe strategies for safe effective multidimensional nursing practice when providing care for clients experiencing immunologic, infectious and inflammatory disorders.
Use the template directly below these instructions to complete a care map to design care for a client with impaired immunity.
Tom Howard, a 45-year old man with HIV from the community, has come to the clinic because he reports he had not been feeling well recently. During the intake process, Tom complains of a dry cough and chilling. The intake nurse takes his vital signs, and they are: Temp 102 degrees Fahrenheit, Pulse 102, Respirations 28 breaths per minute, Blood pressure 135/86. The clinic physician refers Tom to the local hospital for a suspected opportunistic infection.
Assessment / Data Collection: 10 (15.38461%) – 10 (15.38461%)
Correctly identifies ALL of the following: the disease process of HIV (demonstrating that the student knows what is happening in the body), common labs and/or other diagnostic tests and their significance to the chosen disease process, expected health history for this disease process (risk factors) and explained what the nurse may find on assessment of a client with this disease process.
Nursing Hypothesis / Diagnosis (should fit the data): 10 (15.38461%) – 10 (15.38461%)
Writes THREE NANDA approved nursing diagnoses in the correct format (all required parts like related to/as evidenced by/etc) with a strong connection to identified data.
SMART Goal (should reflect the diagnosis and follow guidelines) : 14 (21.53846%) – 15 (23.07692%)
Writes ONE goal for EACH nursing diagnosis and the goals meet all of the SMART goal guidelines and are related to the nursing diagnosis.
Interventions and Rationale : 19 (29.23076%) – 20 (30.76923%)
Writes TWO interventions and rationale for each Nursing Diagnosis that will assist the client in meeting the identified SMART goal with appropriate references to support each intervention.
APA Citation: 5 (7.6923%) – 5 (7.6923%)
APA in-text citations and references are used correctly.
Spelling and Grammar : 5 (7.6923%) – 5 (7.6923%)
Minimal to no spelling and grammar errors.